NPI | 1770592602 |
---|---|
Doing Business As | HANSEN VISION CENTER PLC |
Entity Type | Organization |
Authorized Contact | PEGGY HANSEN Office 616-754-7143 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MI 4901002646) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2012-09-15 |